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This research was carried out in Kaduna State, Nigeria to determine whether Nursing Process is used in patients care or not. Utilizing an ex-post facto research design, a multistage sampling technique was used to select 210 nurses from urban and rural based hospitals from the three (3) senatorial districts of Kaduna State. Self-administered questionnaires were used for data collection. About 78% (163) of the questionnaire was filled and returned. The major findings were that 57.1% of the respondents indicated that Nursing Process is used in patients care in Kaduna state General Hospitals while 14.1% revealed that the use of nursing process started and stopped and 25.8% indicated that it is not used in patients care. The major factors that militated against the implementation of Nursing Process were identified as shortage of nursing staff (54.0%) and insufficient equipment (28.2%) for the implementation of Nursing Process in patients care. Three null hypotheses tested at significant level of 0.05 indicated that, years of experience and qualification does not relate significantly with the implementation of nursing process but rank of nurses relates significantly with the implementation of nursing process. The major opinions advanced by the respondents as a solution to these factors were that more nursing staff should be provided at every duty hours and the provision of basic care equipment for nursing care on patients. It is recommended that Nursing Process forms used in patients care should be adapted rather than adopted to suite the peculiarities of our environment in order to facilitate its full implementation in patients care.